| NPI | 1720243454 |
|---|---|
| Doing Business As | LA CLINICA NORTH VALLEJO |
| Entity Type | Organization |
| Authorized Contact | JANE GARCIA Chief Executive Officer 510-535-2915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CA 110000270) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA 05D1087668) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2019-10-17 |